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National Elder Planning Issues Conference

Your Name    CIPR # (if applicable) 
Are you an EPC Member?       Yes         No
Are you a Charter Member?     Yes         No
Spouse     Yes         No
Company name: 

Are you registering a guest?
1st Guest Name - For name badge:
2nd Guest Name - For name badge:
   
Your Information
Street :
City:
Province:
Postal code:
Business Phone:   Ext:
Home Phone:
Cell Phone:
Fax:
E-mail Address:
   
Location -     

Questions? Type anything you have a question about here and we will get back to you.

Registration Fees - Niagara Fall TAX is included in these fees

- The conference fee for members is $399.00
- Non Members - $449.00
-
* Spouse of EPC Member/Non Member - $199.00


Registration Fees -
ONE DAY Vancouver and Edmonton Conferences TAX is included in these fees

- $149 EPC Member fee
- $179 Non-member fee
- * Spouse of EPC Member/Non Member - $99

TAX is included in all fees

NOTE - * Current EPC members may not be registered as a spouse or guest

Payment Method

For Credit Card Payment's we accept the following cards

 


Visa

MasterCard

Card Number:      Expiry Date     

* EXAMPLE - 5555 4444 3333 2222 (please leave space between each four numbers)

CVV2#    (3 Digit Code on the back of your Credit Card)

Name on card:

For Payments made by Cheque
Make checks payable to - Canadian Initiative for Elder Planning Studies

I will Mail my Cheque

Mail your cheque to -

Canadian Initiative for Elder Planning Studies
Suite 203, 4438 Ontario Street 
Beamsville, ON
L0R 1B5

 

Type 1234 in the box to the right then click Submit Form:  

 

 

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Canadian Initiative for Elder Planning Studies Inc.
203-4438 Ontario Street

Beamsville, ON L0R1B5

Toll Free Phone 866 833-8606  Toll Free Fax 866 209-5111
 

This web site Copyright 2019 CIEPS